Current perspectives on the benefits, risks and limitations of non-invasive brain stimulation (NIBS) for post-stroke dysphagiaCitation formats

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Current perspectives on the benefits, risks and limitations of non-invasive brain stimulation (NIBS) for post-stroke dysphagia. / Cheng, Ivy; Hamdy, Shaheen.

In: Expert Review of Neurotherapeutics, 17.09.2021.

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@article{587bc74fa3404e9da01647b269b5c72a,
title = "Current perspectives on the benefits, risks and limitations of non-invasive brain stimulation (NIBS) for post-stroke dysphagia",
abstract = "Introduction: Studies have shown that non-invasive brain stimulation (NIBS), including repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), can promote neuroplasticity, which is considered important for functional recovery of swallowing after stroke. Despite extensive studies on NIBS, there remains a gap between research and clinical practice.Areas covered: In this article, we update the current knowledge on the benefits and challenges of rTMS and tDCS for post-stroke dysphagia. We identify some key limitations of these techniques that hinder the translation from clinical trials to routine practice. Finally, we discuss the future of NIBS as a treatment for post-stroke dysphagia in real-world settings.Expert opinion: Current evidence suggests that rTMS and tDCS show promise as a treatment for post-stroke dysphagia. However, these techniques are limited by the response variability, uncertainty on the safety in patients with comorbidities and difficulties in clinical study designs. Such limitations call for further work to enhance their utility through individualised approaches. Despite this, the last decade has seen a growing acceptance towards these techniques among clinical personnel. As such, we advocate caution but support optimism that NIBS will gradually be recognised as a mainstream treatment approach for post-stroke dysphagia in the future.",
author = "Ivy Cheng and Shaheen Hamdy",
year = "2021",
month = sep,
day = "17",
language = "English",
journal = "Expert Review of Neurotherapeutics",
issn = "1473-7175",
publisher = "Expert Reviews Ltd",

}

RIS

TY - JOUR

T1 - Current perspectives on the benefits, risks and limitations of non-invasive brain stimulation (NIBS) for post-stroke dysphagia

AU - Cheng, Ivy

AU - Hamdy, Shaheen

PY - 2021/9/17

Y1 - 2021/9/17

N2 - Introduction: Studies have shown that non-invasive brain stimulation (NIBS), including repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), can promote neuroplasticity, which is considered important for functional recovery of swallowing after stroke. Despite extensive studies on NIBS, there remains a gap between research and clinical practice.Areas covered: In this article, we update the current knowledge on the benefits and challenges of rTMS and tDCS for post-stroke dysphagia. We identify some key limitations of these techniques that hinder the translation from clinical trials to routine practice. Finally, we discuss the future of NIBS as a treatment for post-stroke dysphagia in real-world settings.Expert opinion: Current evidence suggests that rTMS and tDCS show promise as a treatment for post-stroke dysphagia. However, these techniques are limited by the response variability, uncertainty on the safety in patients with comorbidities and difficulties in clinical study designs. Such limitations call for further work to enhance their utility through individualised approaches. Despite this, the last decade has seen a growing acceptance towards these techniques among clinical personnel. As such, we advocate caution but support optimism that NIBS will gradually be recognised as a mainstream treatment approach for post-stroke dysphagia in the future.

AB - Introduction: Studies have shown that non-invasive brain stimulation (NIBS), including repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), can promote neuroplasticity, which is considered important for functional recovery of swallowing after stroke. Despite extensive studies on NIBS, there remains a gap between research and clinical practice.Areas covered: In this article, we update the current knowledge on the benefits and challenges of rTMS and tDCS for post-stroke dysphagia. We identify some key limitations of these techniques that hinder the translation from clinical trials to routine practice. Finally, we discuss the future of NIBS as a treatment for post-stroke dysphagia in real-world settings.Expert opinion: Current evidence suggests that rTMS and tDCS show promise as a treatment for post-stroke dysphagia. However, these techniques are limited by the response variability, uncertainty on the safety in patients with comorbidities and difficulties in clinical study designs. Such limitations call for further work to enhance their utility through individualised approaches. Despite this, the last decade has seen a growing acceptance towards these techniques among clinical personnel. As such, we advocate caution but support optimism that NIBS will gradually be recognised as a mainstream treatment approach for post-stroke dysphagia in the future.

M3 - Article

JO - Expert Review of Neurotherapeutics

JF - Expert Review of Neurotherapeutics

SN - 1473-7175

ER -